Individual provider Active NPI

S. Matthew Dipippa, D.C.

  • Chiropractor
  • Butler, PA
National Provider Identifier
1265412407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 005744-L Issued in PA
Practice address
662 New Castle Rd
Butler, PA 16001-8338
Phone
(724) 283-2424
Fax
(724) 283-2440
NPI assigned
Jan 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 005744-L PA Primary

Addresses

Primary practice location

662 New Castle Rd
Butler, PA 16001-8338

Mailing address

662 New Castle Rd
Butler, PA 16001-8338
Phone (724) 283-2424

Other identifiers 7

IdentifierTypeStateIssuer
508389OtherPACIGNA
1648896OtherPABCBS GROUP#
518922OtherPABCBS
DC4546OtherPARR MEDICARE
3688506OtherPAAETNA
248577OtherPAHEALTH AMERICA
P00169766OtherPARR MEDICARE PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000944 PA Practitioner - Chiropractic 1254397888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

662 New Castle Rd
Butler, PA 16001-8338
Phone (724) 283-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 005744-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dipippa Chiropractic Center, Inc. Chiropractor CurrentSince Sep 27, 2004 Accepting new patients

Locations

662 New Castle Rd
Butler, PA 16001
Phone (724) 283-2424

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265412407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160018338",
            "telephone_number": "724-283-2424",
            "fax_number": "724-283-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160018338",
            "telephone_number": "724-283-2424",
            "fax_number": "724-283-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIPPA",
        "first_name": "S. MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 005744-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "508389",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "1648896",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "518922",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC4546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3688506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "248577",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN #",
            "identifier": "P00169766",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.